A comparison of primary health care physicians and primary nurses.
Written in 2005; 2,154 words; 15 sources; MLA; $ 67.95
Paper Summary:
Nursing care was developed, in part, to provide services to patients with multiple needs and evolved with the initial goals of providing efficient and effective care. Among the delivery systems used to provide this care include primary nursing, primary care, and primary health care. Primary nursing originated in the United States and emerged because of concern about the fragmented care patients were receiving particularly in hospital settings. Primary health care follows many of the same principles and is concerned with providing comprehensive, individualized, patient care from point of contact to completion. Primary care may be defined as a service provided by primary nurses and primary health care physicians. The similarities and differences between these concepts are explored in detail.
From the Paper:
"According to Sergei Vinogradov (2002) primary health care or PHC is "based on family health teams, working in family health centers" whose goals include prioritizing prevention and addressing 90% of health problems and patient concerns (p.39). In primary health care systems, doctors bear the brunt of the responsibility, sometimes at the expense of efficiency according to some critics (Vinogradov, 2002). PHC teams are comprised of many individuals including medicine doctors, nurses and other relevant health professionals, but it is the doctor (usually a family doctor) that bears the brunt of accountability and responsibility in terms of patient care (Vinogradov, 2002).
Primary health care is often provided in a managed care setting which requires that a centralized medical decision be made by a primary care physician, thus enhancing according to some the 'attractiveness' of care, suggesting it is quality oriented and scientifically based (Brekke, et. al, 2002). Primary health care usually is offered in hospitals and primary medical offices, less so in community based settings."
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